FOLEY CATHETER CARE
Patient was instructed on factors that contributes to poor skin integrity, such as, immobilization, poor circulation, moisture, heat, anemia, shearing forces poor nutritional status, etc.
Patient was instructed on measures to protect the skin, such as, keeping the skin clean and dry, assessing frequently for skin breakdown, avoiding powder due to possible caking and irritation.
Patient was instructed about how to check both feet daily looking over them carefully every day, and be sure check between all of the toes. Blisters and infections can start between the toes, and with diabetic neuropathy, may not feel them until they've become irritated or infected. If physical challenges occur, ask a family member to help. Further teaching is needed.
Patient was instructed about feet wash with warm - not hot
Patient was instructed about how make sure the shoes fit well. Even the slightest rubbing or misfit shoe can cause a blister that turns into a sore that becomes infected and never heals. Buy better-fitting shoes, or try different socks, even at the most minor signs of redness or irritation, since you may not be able to feel when it's getting worse. Before buying or putting on the shoes check your shoes for rough seam, sharp edges or other objects that could hurt your feet. Further teaching is needed.
Patient was instructed on tips for a good personal hygiene such as, Keep the skin clean. People who live in warm climates or tend to sweat need to take extra care. Do not re-wear the clothes without washing them.
Patient was instructed on Hyperglycemia. If dehydrated the body burns protein and fat rather than sugar for energy, causing acids and ketones to build up in your blood. These ketones can be partially released into the urine. If ketoacidosis develops, emergency care is needed immediately to keep the condition from getting worse.
Skilled Nurse instructed caregiver get at least 4 pillows, include one of those long body pillows since you can and place them between the knees, ankles, under the arms and behind the back when the patient is laid on her side.
Taught that, when taking Levothyroxine, if more than 2-3 doses are missed, physician and/or other health care provider should be notified about it.
Taught that, when taking Levothyroxine, dose should be withheld and physician or other health care provider notified if resting pulse is over 100 beats per minute.